1983, 10-20 Permit: 83B-618 MHPLAN NUMBER
PERMITNUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY
NTY DEPA TMENTO BUIL
�3 - �'I
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-36]5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDREW
PARCEL NO.
1. E I (72
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LEGAL DESCRIPTION:
2. I()i_
LNaa S"
,
OWNER BETH U –PHONE
PHONE
3. lI
MAILINGADDRESS
ZIP
Mueleetapkaln Fealt¢
North .33r South Eaat
is, ., IS
LONTRAGTOR
LICENSE EXPIRES
PHONE
U.&Parrel ZpnkClwlllwem
1='non
R®iEmtial
4.
&O x L GPaa a
Comnemlel ❑
ADORE55
ZIP
7YB9S4 eN Coxignal
Win
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DESIGNER
PHONE
New CAnl. VelualienRemMeleJ
Valuation
TetaI BIOg. Flwr Brea
5.
ADDRESS
ZIP
Mein Fluor Upper Flnra
GerpelSimpe
Grecnhoup
CHANGE OF USE FROM
TO
Cns Wdt
U.. Link
Fin, awnvan
Unlin. Basement
8.
I
Np'Nugha No
Flaoa
Nc RWRpma
W.W.elnpa
TYPE 9/ NEW ❑ ALT.
❑ AWN. ❑RPL. EIMVE.
'. OF
OTHER
//M.
WORK El BLD. ElFFILMS.13MECH.
Pa H. ❑ POOL
LYdeI of Evempl. Favored
Yel NoV
Numlear
valwas Face q]
Yal Non
—
B DESCRIBEWORK
Slrvallreel Flush-il
Ren Rpulred❑
S.N(
i -k-70
Y®C Not Appllp.0
Rwulved0
y(VALUATION
9
SOURCE
OF
GAS
7
ELECTRIC
WATER
PUBLIC
SEWAGF/
SEWEI CCYY
pvllereplp
FEES COLLECTED
4b Z3 CCXa
l?ILITIES
_
PRIVATE
SEWERn
Publkp Rivete�
I hereby certify that I have read and examined this application and have read the 'NOTICE' provisions Included on
reverse side, and know the same
to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether
specified herein or not. The granting of a permit does not presume to give au-
gpildlp
thority to violate or cancel the provisions
of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
Plumbing
SIGNATURE OFAPPLICATI
-J
N
OWNER OR AGENT IS�a J
.- I)?ckVa /9 bl/ DATE /O '!G'RJ
Mean.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Hai
tol
l
SEPA
Planning
MFG. �6. ��
MFG. Home
Ho
>
Prevent.
C
Epilwer
OIMr(SpecilYl
�G
N
Utilities
O
TOTAL $���
eEPA
MACHINE IN THIS SPACE,
Pla
Finn.
PERMIT IS NONTRANSFERABLE
HrISB COMES A PERIM TTED
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Buile_ip
`
IN
Oa_�
•50.00Tech83
DATEISOEDJ0
O1z
PERMIT TOTAL
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